24D2097966 CLIA NUMBER - WALMART PHARMACY 10-2643

Home > CLIA Lookup > 24D2097966

Laboratory Demographics

CLIA Number: 24D2097966

Facility Name: WALMART PHARMACY 10-2643

Facility Address:
10240 HUDSON RD
WOODBURY, MN
ZIP 55129
Get Directions

Facility Phone Number: 651 735-5190

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1528085925

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	24D2097966
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY 10-2643
Street	10240 HUDSON RD
City	WOODBURY
State	MN
ZIP	55129
Phone	651 735-5190
CertificateType	4
CertificateEffectiveDate	6/28/2023
CertificateExpirationDate	6/27/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024